| Edel Herranz, | |
|
1500 Beville Rd Ste 105, Daytona Beach, FL 32114-5644 | |
| (386) 328-9217 | |
| Not Available |
| Full Name | Edel Herranz |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1500 Beville Rd Ste 105, Daytona Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891495453 | NPI | - | NPPES |
| EDOH4420Z | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11025150 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Island Doctors Intrastate Llc | 5395161186 | 71 |
| Entity Name | Island Doctors Intrastate Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733 |
| Mailing Address | Practice Location Address |
|---|---|
| Edel Herranz, 2460 Old Moultrie Rd Ste 1, St Augustine, FL 32086-4198 Ph: (904) 797-5740 | Edel Herranz, 1500 Beville Rd Ste 105, Daytona Beach, FL 32114-5644 Ph: (386) 328-9217 |
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